S0400 – Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s)

HCPCS Level II code · S codes: Temporary National Codes (Non-Medicare)

Active code Not payable by Medicare

HCPCS codeS0400
Long description
Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s)
Short description
Global eswl kidney
Pricing indicator
00 Not separately priced by Part B (bundled, not covered or Part A only)
Medicare coverage
I Not payable by Medicare
BETOS category
Z2 Undefined codes
Added
January 1, 2002
Last change
January 1, 2002 – No change

Frequently asked questions

What is HCPCS code S0400?

S0400 is a HCPCS Level II code for global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s).

Does Medicare cover S0400?

The HCPCS file lists coverage code I: Not payable by Medicare. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby S codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.